Individual
DR. PAUL FLAVIAN HAGGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6661 CLYO RD, CENTERVILLE, OH 45459-2702
(937) 425-4000
(937) 425-4002
Mailing address
6661 CLYO RD, CENTERVILLE, OH 45459-2702
(937) 425-4000
(937) 425-4002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101241946
VA
207R00000X
Internal Medicine Physician
Primary
35.128129
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0383499
—
OH
Enumeration date
10/10/2006
Last updated
04/15/2025
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